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New Hampshire rates for HCPCS J2503

Pegaptanib Sodium Injection

Insurance Carrier
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$889.25 / $889.25 / $889.25
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,032.00 / $1,135.20 / $1,444.80